I usually use a slow turning motion while pulling them out. I'd rather have a piece of tick in me than limes. The 36 hour rule is what I've read in several medical articles. Best thing is to shower after being in the woods, use a washcloth over every square inch of your body. If there's a tick embedded already it will get irritated enough to find with the wash cloth. I'm spraying my boots and pants with Sawyer for this spring.